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Organization
DYNAMIC PHYSICAL THERAPY & REHABILITATION
Active
Organization
DYNAMIC PHYSICAL THERAPY & REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY CARBONEL (BILLING MANAGER)
(864) 331-0919
Entity
Organization
Contact information
Practice address
9789 CHARLOTTE HWY, SUITE 500, FORT MILL, SC 29715-7177
(803) 548-5022
(803) 548-5023
Mailing address
PO BOX 1864, GREENVILLE, SC 29602-1864
(864) 331-0919
(864) 331-0922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/13/2007
Last updated
07/24/2008
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